NJ Mobile Medical, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

NJ MOBILE MEDICAL, PC

Practice address

105 River Ave Ste 103
Lakewood, NJ 08701-4267

Phone

(212) 595-0005

NPI assigned

Aug 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dov Levin

Title

Director of Operations

Phone

(212) 595-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Gandelman, MD

  • Cardiovascular Disease Physician
  • Greenwich, CT
  • NPI 1033117437

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1780296160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 HOLLY HILL LN STE 102",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RIVER AVE STE 103",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014267",
            "telephone_number": "212-595-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ MOBILE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "212-595-0005"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0588857",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NJ DFC Orthodontics, LLC
• NJ Eye Consultants
• NJ Golden Home Care
• NJ Hospice Holding LLC
• NJ Meta Endovascular Group LLC
• NJ Mobile Medical, PC
• NJ Rising Stars Inc.
• NJ Vision Care PC
• Basya Noble, PA-C
• Norman Indich MD, LLC

• Podiatrist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.